Individual
SANDRA K BIRCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3800 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5272
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03102
IA
207RC0000X
Cardiovascular Disease Physician
Primary
2020012043
MO
207RC0000X
Cardiovascular Disease Physician
48571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083026
—
MO
05
—
8162016
—
IA
01
—
P00224506
RAILROAD MEDICARE
IA
Enumeration date
11/14/2005
Last updated
01/30/2024
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